Walden Flashcards

1
Q

High levels of serotonin, high fever, muscular rigidity, mental status changes, hyperreflexia, dilated pupils, life threatening reaction, contraindicated with MOA, TCA, SSRI

A

Acute serotonin syndrome

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2
Q

Rare life threatening idiopathic reaction from typical and atypical antipsychotics, affect dopamine in the brain, high fever, muscular rigidity, mental status, fluctuating BP, urinary incontinence

A

Malignant neuroleptic syndrome

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3
Q

Allows 72 hours involuntary detention for evaluation and treatment of high
risk suicidal patients.

A

Baker act

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4
Q

Zyprexa, Risperdal, Seroquel

A

Atypical antipsychotics

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5
Q

Haldol black box warning

A

Typical antipsychotic

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6
Q

Sudden death in elderly, prolong QT interval fata arrhythmia torsade’s
de point

A

Antipsychotics

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7
Q

Lamictal,Tegretol, Depakote

A

Anticonvulsant

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8
Q

Side effect- loss of libido Erectile dysfunction, anorexia,

A

SSRI

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9
Q

first line treatment
of OCD/depression, celexa/citalopram, Lexapro/escitalopram, Prozac/fluoxetine,
Zoloft/sertraline, Paxil/paroxetine

A

SSRI

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10
Q

Wellbutrin (increases risk of seizures) , Zyban(smoking)

A

Atypical antidepressant

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11
Q

Effexor, Cymbalta

A

SNRI

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12
Q

For depression, can be for post herpetic neuralgia, Elavil, doxepin, nortriptyline,
side effect- suicide, hoard pills, cardiac arrhythmias and neuro effects seizures

A

TCA

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13
Q

Bipolar disorder

A

Lithium

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14
Q

Contraindicated with other antidepressants and high tyramine foods ( fermented
foods, beer cheese wine fava beans)

A

MAO

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15
Q

Anxiety panic or insomnia,

A

Benzodiazepines

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16
Q

Used for severe alcohol withdrawal and seizures

A

Valium

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17
Q

Disturbance in cognitive, emotional behavior, somatic regulations, depressed mood and loss of interest or pleasure.

A

Depression

18
Q

Depressed mood for 2 weeks or longer,

A

Depression - time Dx

19
Q

anhedonia, decreased/increased appetite, weight loss or gain, sleep disorder, psychomotor agitation or retardation, fatigue, loss of energy, feeling of worthlessness(poor self-image), inappropriate guilt, recurrent thoughts of death(suicide), difficulty thinking or concentrating/indecisiveness.

A

Depressions behaviour

20
Q

Dx - CBC, TSH, Vit B12

A

Depression - Dx

21
Q

Tx - rule out other disease refer psychotherapy ,first line SSRI

A

Depression - Tx

22
Q

Akinesia- inability to initiate movement, akathisia- unable to stay still, tardive dyskinesia- involuntary movements- lip smacking, tongue face and extremities

A

Extrapyramidal symptoms

23
Q

Inability to experience pleasure from activities usually found enjoyable

A

Anhedonia

24
Q

Is a behavior disorder, common comorbidities- oppositional defiant disorder, conduct disorder, learning disorder, depression, anxiety, tics and Tourette’s, bipolar and substance abuse

A

ADHD

25
Q

SSRI, antidepressant, sertraline, reduce sperm count, increases infertility Black Box warning

A

Zoloft

26
Q

Olanzapine, antipsychotic, for schizo and bipolar, monitor CBC for low WBC, weight, b/p, mental status, lips, prolactin, glucose CAUSES ELEVATED LIPDS

A

Zyprexa

27
Q

is characterized by mania and depression refer to psychiatrist TX lithium, Depakote, SSRI

A

Bipolar

28
Q

delusions, paranoia, disorganized speech, hallucinations, refer to psychiatrist, KNOW MEDS AND TX

A

Schizophrenia

29
Q

Inflated sense of self, during manic episode, bipolar symptom, narcissistic disorder, special powers, spiritual connections, or religious relationships

A

Grandiosity

30
Q

Onset adolescence, fear of gaining weight, purging uses laxatives, vomiting, binge eating, food restriction, complications osteoporosis, BMI <18.5, lanugo, amenorrhea, peripheral edema, cardiac arrhythmias

A

Anorexia nervosa

31
Q

Characterized by flashbacks of traumatic event,
Dx - PTSD checklist, PCL-5, Tx - first line treatment SSRI, cognitive behavioral therapy, eye movement desensitization and reprocessing (EMDR)

A

PTSD

32
Q

Depression, menopausal symptoms

A

St john wort

33
Q

Anxiety and insomnia

A

Kava Kava/valerian root

34
Q

Spelling or counting backwards

A

Attention and calculation

35
Q

Is when maladaptive behavior pattern occurs from repeated alcohol
abuse BAC >.08 is illegal Dx - GGT, AST ALT

A

Alcohol abuse

36
Q

Screening for problem drinking or dependence, 2 out 4 suggests alcohol abuse

A

Cage Questionnaire

37
Q

Sudden onset of confusion, delusions, hallucinations, grand mal seizures
Tx - benzodiazepine, Vitamins AA, refer to ED

A

Acute delirium tremors

38
Q

Chronic thiamine deficiency

A

Korsakoff’s syndrome

39
Q

Nicotine gum, chew and par in buccal mucosa, no smoking cause
nicotine overdose, cause MI, HTM
Tx - Zyban and/or Chantix

A

Smoking cessation

40
Q

Tx - first line is sleep hygiene, refer to sleep lab, Benadryl, Benzodiazepines

A

Insomnia